房间隔膨出瘤及合并畸形52例临床报告

邓东安; 侯鸣晓; 侯传举; 朱鲜阳; 韩秀敏

中国临床医学影像杂志 ›› 2010, Vol. 21 ›› Issue (7) : 469-472.

论著

房间隔膨出瘤及合并畸形52例临床报告

邓东安，侯鸣晓，侯传举，朱鲜阳，韩秀敏

作者信息 +

Interatrial septal aneurysm associated with anomalies

DENG Dong-an, HOU Ming-xiao, HOU Chuan-ju, ZHU Xian-yang, HAN Xiu-min

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文章历史 +

摘要

目的：探讨房间隔膨出瘤（IASA）合并畸形的诊断特征及治疗适应证。方法：32例IASA合并畸形的住院患者及20例孤立性IASA门诊随诊患者，经心电图（ECG）、胸片、体表超声（TTE）、食道超声（TEE）及心导管检查，选择外科开胸，内科介入及门诊随诊观察的IASA患者。结果：32例IASA合并畸形的住院患者，16例（50%）合并畸形行外科开胸手术治疗，其中7例合并多发性房间隔缺损（ASD）。16例（50%）IASA合并ASD行内科介入治疗，其中6例为多发性ASD。结论：IASA合并畸形最常见的为ASD，而ASD中多发性ASD较为常见，通过TTE及TEE准确诊断，选择内、外治疗适应证。

Abstract

Objective: To explore the characteristics of interatrial septal aneurysm(IASA) complicated with anomalies and its treatment. Methods: Thirty-two inpatients with IASA and complicated with anomalies and 20 outpatients with isolated IASA were identified in our department. In 20 outpatients(4 male, 16 female) with isolated IASA, 8 patients accompanies with patent foramen ovale(PFO), ages ranged from 3.5~54 years old, with an average of 36.38±15.15. In 32 inpatients(8 male, 24 female) with IASA complicated with anomalies, ages ranged from 3 months to 61 years old, with an average of 31.88±18.28. Length of IASA, height of IASA, diameter of right ventricle, and cardiac function tests of the left ventricle were evaluated by electrocardiogram, X-ray, transthoracic echocardiography(TTE), transesophageal echocardiography(TEE). The patients with IASA and complicated with anomalies underwent catheterization and interventional therapy or surgery. Results: In 32 patients with IASA and complicated with anomalies, 16 patients(50%) underwent surgery and 16 had interventional therapy. Multiple atrial septal defects(ASDs) were found, 7 patients underwent surgery and 6 underwent interventional therapy. Conclusion: The commonest anomalies complicated with IASA are ASDs, which are often multiple. TTE and TEE are the key methods to select patients for interventional therapy or surgical treatment.

导出引用

邓东安;侯鸣晓;侯传举;朱鲜阳;韩秀敏. 房间隔膨出瘤及合并畸形52例临床报告[J]. 中国临床医学影像杂志. 2010, 21(7): 469-472

DENG Dong-an;HOU Ming-xiao;HOU Chuan-ju;ZHU Xian-yang;HAN Xiu-min. Interatrial septal aneurysm associated with anomalies[J]. Journal of China Clinic Medical Imaging. 2010, 21(7): 469-472

中图分类号： Ｒ541.1 Ｒ540.41 Ｒ445.1